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Prescriber Criteria Formally Health Medicare 2019 PA Fax C2937A FHC v1 120118.docx (ibogaine) Coverage Determination This fax machine is located in a secure location as required by HIPAA regulations.
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01
Read the medication guide provided by your pharmacist before you start taking ezogabine tablets.
02
Take the tablets orally as directed by your doctor, usually three times daily with food.
03
Swallow the tablet whole, do not crush, chew, or break it.
04
The dosage of ezogabine tablets may vary based on individual needs and medical condition, so always follow your doctor's instructions.
05
Do not stop taking ezogabine tablets suddenly without consulting your doctor, as it may cause withdrawal symptoms.
06
If you miss a dose, take it as soon as you remember. However, if it is close to the time for your next dose, skip the missed dose and resume your regular dosing schedule.
07
Do not take a double dose to make up for a missed one.

Who needs ezogabine tablets uses dosage?

01
Ezogabine tablets are prescribed to individuals who have been diagnosed with partial-onset seizures that are not well-controlled by other medications.
02
It is usually used as an adjunctive treatment for epilepsy in patients aged 18 years and older.
03
Only a healthcare professional can determine if ezogabine tablets are appropriate for your condition.
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Ezogabine is used as an adjunctive treatment to adult patients with partial-onset seizures. The typical starting dosage is 300 mg per day, which can be increased gradually depending on the patient's response and tolerance.
Healthcare professionals and providers prescribing ezogabine need to document the dosage used for patients as part of medical records and reporting requirements.
To fill out ezogabine tablets dosage, healthcare providers must record the patient's name, the prescribed dosage (e.g., 300 mg), frequency, and any adjustments made during treatment.
The purpose of ezogabine dosage documentation is to ensure proper treatment adherence, monitor patient response to therapy, and comply with legal and regulatory requirements.
The report must include patient identification, prescribed dosage, administration schedule, changes in dosage, and any side effects experienced by the patient.
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